CHRISTINE CAROLE HICKS (NPI# 1124067640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124067640 |
| Entity Type | Individual |
| Full Name | CHRISTINE CAROLE HICKS |
| Credential | RPH |
| Practice Address |
1152 Baseline Cornelius OR 97113-9019 |
| Mailing Address |
8855 Sw Brabham Way Gaston OR 97119-9025 |
| Practice Telephone | 5033528553 |
| Practice Fax Number | 5033528554 |
| Mailing Telephone | 5039850140 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH00017057 | WA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RPH-0009911 | OR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PHARMACIST LICENSE | PH00017057 | 01 |
| OR | PHARMACIST LICENSE | RPH-0009911 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912398884 | Christine Michelle Hicks | Nurse Practitioner | 37767 Market Dr # 201, Charlotte Hall, MD 20622-3188 | 2015-02-12 |
| 1639779077 | Christine Hicks | Behavior Technician | 25190 Hancock Ave, Murrieta, CA 92562-5947 | 2020-10-26 |
| 1912504671 | Christine Zane Hicks | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-06 |
| 1619439668 | Christine Marie Hicks | Physical Therapist | 103 Gossman Rd, Southern Pines, NC 28387-2225 | 2019-04-01 |
| 1720554892 | Christine Hicks | Behavioral Analyst | 340 Ne Maple St, Pullman, WA 99163-4120 | 2018-10-16 |
| Street Address |
1152 BASELINE |
| City | CORNELIUS |
| State | OR |
| Zip Code | 97113-9019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255748265 | Joshua David Shinoda | Optometrist | 195 N Adair St., Ste E, Cornelius, OR 97113 | 2014-07-22 |
| 1265777445 | Trisstin Colleen Mccallister | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2012-11-29 |
| 1083929277 | Wal-mart Stores Inc | Technician/Technologist | 220 N Adair, Cornelius, OR 97113 | 2010-08-11 |
| 1720392608 | Darin Closson | Optometrist | 220 N Adair Street, Cornelius, OR 97113 | 2010-08-03 |
| 1235469412 | Heymi Hamlin | Chiropractor | 1250 Baseline St., Cornelius, OR 97113 | 2010-01-11 |
| 1124225842 | Pacific University | Optometrist | 44 North 11th Avenue, Cornelius, OR 97113 | 2007-06-27 |
| 1760550693 | Steven M Hill | Dentist | 926 W Baseline, Cornelius, OR 97113 | 2006-11-30 |
| 1811936362 | Susan A Kass | Nurse Practitioner | 1151 N. Adair Street, Cornelius, OR 97113 | 2006-06-06 |
| 1053367540 | Laura R. Byerly | Family Medicine | 1151 N. Adair St., Cornelius, OR 97113 | 2006-05-26 |
| 1730514902 | Caitlyn Joy Monks | Massage Therapist | 1250 Baseline St, Cornelius, OR 97113 | 2013-09-06 |
| Find all providers in zip 97113 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548811151 | Bryce Virginia Peebles | Pharmacist | 20929 Sterling Bay Ln E Apt K, Cornelius, NC 28031-4924 | 2019-09-25 |
| 1467860601 | Lucas Helms | Pharmacist | 19815 N Cove Rd, Cornelius, NC 28031-6445 | 2014-07-31 |
| 1619269420 | Gregory Thomas Badway | Pharmacist | 18816 Nautical Dr Apt 12, Cornelius, NC 28031-8061 | 2011-05-11 |
| 1114219391 | Suzanne C Vacek | Pharmacist | 19815 Northcove Rd, Cornelius, NC 28031-6445 | 2011-05-06 |
| 1639487028 | Megan Quick | Pharmacist | 21500 Catawba Ave, Cornelius, NC 28031-6577 | 2010-09-20 |
| 1770737678 | Jesika S Patel | Pharmacist | 19400 W Catawba Ave, Cornelius, NC 28031-4000 | 2008-11-05 |
| 1700483419 | Courtney Barber | Pharmacist | 220 N Adair St, Cornelius, OR 97113-8404 | 2020-10-06 |
| 1316588809 | Vivian Thao Phuong Chau | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2019-10-05 |
| 1477108256 | Miranda Patricia Steinkopf | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2019-08-07 |
| 1073171658 | Bradley Ramos | Pharmacist | 1151 N Adair St, Cornelius, OR 97113-8900 | 2019-05-30 |
| Find all providers in CORNELIUS | ||||
Please comment or provide details below to improve the information on CHRISTINE CAROLE HICKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.